Self-Management and Self-Management Support on Chronic Low Back Patients in Primary Care

Chronic low back pain (CLBP) afflicts 28.5% of adults costing $100-200 billion dollars. In response, the Institute of Medicine (2011) strongly recommended self-management (SM) to engage patients to care for themselves adequately. Healthcare professionals are also urged to provide effective self-management support (SMS) to empower patient’s ability to self-manage. SM and SMS have shown success in improving other chronic disease outcomes; current knowledge base are insufficient in non-malignant CLB

RECOGNIZING SPONDYLOARTHRITIS IN PRIMARY CARE

The present study surveys the problems of diagnostics of early ankylosing spondylitis (AS) and axial spondylarthritis (SpA). Spondylarthritis rep-resents approximately 5%of the total number of chronic low back pain (CLBP) cases and poses a differential diagnostics challengefor Physicians. Regarding most SpA are chronic and can cause severe incapability, early diagnosis is ofgreat significance

External validation of a referral rule for axial spondyloarthritis in primary care patients with chronic low back pain

Objectives To validate and optimize a referral rule to identify primary care patients with chronic low back pain (CLBP) suspected for axial spondyloarthritis (axSpA). Design Cross-sectional study with data from 19 Dutch primary care practices for development and 38 for validation. Participants Primary care patients aged 18-45 years with CLBP existing more than three months and onset of back pain started before the age of 45 years. Main Outcome The number of axSpA patients according to the ASAS criteria. Methods The referral rule (CaFaSpA referral rule) was developed using 364 CL

A systematic review and meta-analysis of the reliability and validity of sensorimotor measurement instruments in people with chronic low back pain

Background: Deficits in the sensorimotor system and its peripheral and central processing of the affected body part might be a contributing factor to chronic low back pain (CLBP). Hence, sensorimotor assessment is important. Valid and reliable sensorimotor measurement instruments are needed. Objective: To investigate the reliability and validity of sensorimotor measurement instruments for people with chronic low back pain (CLBP). Design: Systematic review and meta-analysis. Methods: The review was undertaken using the COSMIN guidelines. Databases were searched for studies investigating the clinimetric properties of sensorimotor tests in people with CLBP. The methodological study quality was rated by two independent reviewers using the COSMIN 4-point rating checklist. Results: Ten studies were included covering six sensorimotor measurement instruments with findings for reliability/measurement error, known-groups validity and convergent validity. The methodological quality ranged from poor to good, with only one study rated as good. There was insufficient evidence of enough quality to assess reliability/measurement error or convergent validity. Two-point discrimination, laterality judgement and movement control tests had moderate evidence supporting their ability to distinguish between healthy people and those with CLBP. Conclusions: Two-point discrimination, laterality judgment and movement control tests demonstrate the greatest level of known-groups validity for people with CLBP. However, as the reliability of these measurement tools has yet to be established, this validity data should be interpreted cautiously. Further research is warranted to investigate the clinimetric properties of these sensorimotor techniques.</p

One lumbar extension training session per week is sufficient for strength gains and reduction in pain in patients with chronic low back pain ergonomics

Chronic low back pain (CLBP) is the leading cause of absenteeism from the workplace and research into exercise interventions to address this problem is required. This study investigated training frequency for participants with CLBP. Participants either trained once a week (1 × week, n = 31), or twice a week (2 × week, n = 20) or did not (control group, n = 21). Participants were isometric strength tested in weeks 1 and 12 and trained dynamically either 1×week (80% of maximum) or 2×week (80% and 50%). The results (pre vs. post) showed significant increases in maximal strength, range of motion and reductions in pain for both training groups. Pain scores for the 1 × week and 2 × week both reached minimal clinical improvement change unlike the control group. Thus, one lumbar extension training session per week is sufficient for strength gains and reductions in pain in low back pain in CLBP patients

Treatment Of A Patient With Thoracolumbar Scoliosis Utilizing A Regional Interdependence Approach Including Components Of The Schroth Method: A Case Report

Spinal deformity is a challenging spinal disorder in adults. A scoliotic curve of \u3e10 degrees exists in up to 12% of the population. There is little evidence regarding indications for physical therapy treatment in elderly individuals with adult scoliosis. Current study results favor surgical intervention, but not all elderly individuals are surgical candidates. While surgery is the definitive measure, there is limited evidence to guide non-surgical treatment. This case investigated components of the Schroth method, as an adjunct to traditional physical therapy (PT) treatment. A Regional Interdependence approach (RIA) was utilized for a patient with scoliosis referred to PT for chronic low back pain (CLBP).https://dune.une.edu/pt_studcrposter/1071/thumbnail.jp

Prevalence of chronic head, neck and low back pain and associated factors in women residing in the Autonomous Region of Madrid (Spain)

AbstractObjectiveTo compare the prevalence of chronic headache (CH), chronic neck pain (CNP) and chronic low back pain (CLBP) in the autonomous region of Madrid by analyzing gender differences and to determine the factors associated with each pain location in women in 2007.MethodsWe analyzed data obtained from adults aged 16 years or older (n = 12,190) who participated in the 2007 Madrid Regional Health Survey. This survey includes data from personal interviews conducted in a representative population residing in family dwellings in Madrid. The presence CH, CNP, and CLBP was analyzed. Sociodemographic features, self-perceived health status, lifestyle habits, psychological distress, drug consumption, use of healthcare services, the search for alternative solutions, and comorbid diseases were analyzed by using logistic regression models.ResultsThe prevalence of CH, CNP and CLBP was significantly higher (P<0.001) in women (7.3%, 8.4%, 14.1%, respectively) than in men (2.2%, 3.2%, 7.8%, respectively). In women, CH, CNP and CBLP were significantly associated with having ≥3 chronic diseases (OR 7.1, 8.5, 5.8, respectively), and with the use of analgesics and drugs for inflammation (OR: 3.5, 1.95, 2.5, respectively). In the bivariate analysis, the factors associated with pain in distinct body locations differed between men and women.ConclusionsThis study found that CH, CNP and CLBP are a major public health problem in women in central Spain. Women have a higher overall prevalence of chronic pain than men. Chronic pain was associated with a higher use of analgesics and healthcare services